Individual
TAMEKA ANN GRAVESANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 SIERRA COLLEGE DR STE 210, GRASS VALLEY, CA 95945-5769
(530) 273-8452
Mailing address
280 SIERRA COLLEGE DR, GRASS VALLEY, CA 95945-5763
(530) 273-8452
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95018209
CA
Other
Enumeration date
08/26/2021
Last updated
02/02/2022
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